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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2025; 44(01): e73-e76
DOI: 10.1055/s-0045-1805030
Technical Note

Transcranial Approach for Venous Embolization of Dural Arteriovenous Fistula

Abordagem transcraniana para embolização venosa de fístula arteriovenosa dural
Lívio Pereira de Macêdo 
1   Department of Neurosurgery, Hospital da Restauração, Recife, PE, Brazil
2   Department of Interventional Neuroradiology, Hospital da Restauração, Recife, PE, Brazil
,
Francisco Ranilson Alves Silva
2   Department of Interventional Neuroradiology, Hospital da Restauração, Recife, PE, Brazil
,
Marcos Alcino Soares Siqueira Marques Junior
1   Department of Neurosurgery, Hospital da Restauração, Recife, PE, Brazil
2   Department of Interventional Neuroradiology, Hospital da Restauração, Recife, PE, Brazil
,
Daniel Duarte Rolim
2   Department of Interventional Neuroradiology, Hospital da Restauração, Recife, PE, Brazil
,
Sildomar Queiroz
2   Department of Interventional Neuroradiology, Hospital da Restauração, Recife, PE, Brazil
,
Renata Raizza Monterazzo Cysneiros
1   Department of Neurosurgery, Hospital da Restauração, Recife, PE, Brazil
2   Department of Interventional Neuroradiology, Hospital da Restauração, Recife, PE, Brazil
,
Ubiratan Alves Viturino da Silva
1   Department of Neurosurgery, Hospital da Restauração, Recife, PE, Brazil
2   Department of Interventional Neuroradiology, Hospital da Restauração, Recife, PE, Brazil
,
José Laércio Júnior Silva
1   Department of Neurosurgery, Hospital da Restauração, Recife, PE, Brazil
2   Department of Interventional Neuroradiology, Hospital da Restauração, Recife, PE, Brazil
3   Department of Neurointerventional Radiology (ANGIORAD) Recife, PE, Brazil
,
Gustavo Andrade
2   Department of Interventional Neuroradiology, Hospital da Restauração, Recife, PE, Brazil
3   Department of Neurointerventional Radiology (ANGIORAD) Recife, PE, Brazil
,
Nivaldo S. Almeida
1   Department of Neurosurgery, Hospital da Restauração, Recife, PE, Brazil
,
Hildo Rocha Cirne Azevedo-Filho
1   Department of Neurosurgery, Hospital da Restauração, Recife, PE, Brazil
4   Universidade Federal de Pernambuco, Recife, PE, Brazil
› Institutsangaben Funding Information The authors state there is no funding involved.
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Abstract

Transvenous embolization emerges as a viable intervention for addressing intracranial dural arteriovenous fistulas (DAVF). Accessibility to the fistulous site via the internal jugular vein (IJV) may be impeded by associated dural sinus apoplexy or thrombosis, prompting the development of a transcranial approach for venous embolization in such scenarios. The presented case details the utilization of a transcranial approach for venous embolization of DAVF. This method allows unobstructed entry to DAVFs situated on superficial dural sinuses that lie beyond the reach of the IJVs. The efficacy of this approach parallels that of the conventional retrograde venous methodology. The precise location and appropriate extent of the craniectomy play pivotal roles in ensuring the success of this technique.

Resumo

A embolização transvenosa surge como uma intervenção viável para tratar fístulas arteriovenosas durais intracranianas (FAVD). A acessibilidade ao local fistuloso pela veia jugular interna (VJI) pode ser impedida por apoplexia ou trombose do seio dural associada, levando ao desenvolvimento de uma abordagem transcraniana para embolização venosa em tais cenários. O caso apresentado detalha a utilização de uma abordagem transcraniana para embolização venosa de FAVD. Este método permite a entrada desobstruída em FAVDs situadas em seios durais superficiais que ficam além do alcance das VJIs. A eficácia desta abordagem é paralela à da metodologia venosa retrógrada convencional. A localização precisa e a extensão apropriada da craniectomia desempenham papéis essenciais para garantir o sucesso desta técnica.

Keywords

Transcranial approach - venous embolization - dural arteriovenous fistula

Palavras-chave

Abordagem transcraniana - embolização venosa - fístula arteriovenosa dural

Disclosure

The authors report no conflicts of interest.


Institution: Hospital da Restauração, Av. Gov. Agamenon Magalhães, s/n - Derby, Recife - PE, 52171-011


Institution: UFPE, Address: Av. da Engenharia, 186-298 - Cidade Universitária, Recife - PE, 50740-600




Publikationsverlauf

Eingereicht: 28. November 2023

Angenommen: 18. Oktober 2024

Artikel online veröffentlicht:
27. März 2025

© 2025. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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